针刺结合推拿被动运动治疗肩周炎的即刻及近期疗效观察
Observation of the immediate and short-term efficacy of acupuncture combined with Tuina and passive movement in treating scapulohumeral periarthritis
摘要
Abstract
Objective:To evaluate the clinical efficacy of acupuncture combined with Tuina(Chinese therapeutic massage)and passive movement in treating scapulohumeral periarthritis(SP). Methods:Ninety patients with SP were recruited and randomly assigned to a treatment group and a control group using the random number table method,with 45 cases in each group.The control group received conventional acupuncture and Tuina manipulation,while the treatment group received acupuncture combined with Tuina and passive movement.Both groups received one session of treatment.Pain scores and shoulder joint range of motion were assessed pre-treatment,post-treatment,and at one-week follow-up. Results:The total effective rate in the treatment group was significantly higher than that in the control group immediately after treatment and at one-week follow-up(P<0.01).After treatment,both groups exhibited decreases in visual analog scale(VAS)score and increases in the American Shoulder and Elbow Surgeons Society standardized shoulder assessment score(ASES).Differences within and between groups were statistically significant(P<0.01). Conclusion:Compared to acupuncture combined with Tuina manipulation,acupuncture combined with Tuina and passive movement demonstrated better immediate and short-term therapeutic effects for treating SP,showing greater advantages in alleviating pain and improving shoulder joint range of motion.关键词
针刺疗法/推拿/按摩/肩痛/关节周围炎/疼痛测评Key words
Acupuncture Therapy/Tuina/Massage/Shoulder Pain/Periarthritis/Pain Measurement分类
医药卫生引用本文复制引用
ZHANG Hao,CHEN Ziyi,FANG Min,YAN Zhen,ZHANG Yan,YANG Jianping,LU Yufeng,LÜ Qiang,KONG Lingjun,HE Tianxiang..针刺结合推拿被动运动治疗肩周炎的即刻及近期疗效观察[J].针灸推拿医学（英文版）,2025,23(6):509-515,7.基金项目
This study was supported by the Innovation Team and Talents Cultivation Program of National Administration of Traditional Chinese Medicine(国家中医药管理局中医药创新团队及人才支持计划项目,No.ZYYCXTD-C-202008) （国家中医药管理局中医药创新团队及人才支持计划项目,No.ZYYCXTD-C-202008）
Clinical Research Plan of SHDC(上海申康医院发 展 中 心 临 床 计 划,No.SHDC2020CR4055) （上海申康医院发 展 中 心 临 床 计 划,No.SHDC2020CR4055）
Construction of Research-oriented Wards of SHDC(上海市申康中心示范性研究型病房建设,No.SHDC2022CRW010) （上海市申康中心示范性研究型病房建设,No.SHDC2022CRW010）
Three-year Action Plan to Promote Clinical Skills and Innovation Capabilities of SHDC(促进市级医院临床技能与临床创新能力三年行动计划,No.SHDC2022CRT018) （促进市级医院临床技能与临床创新能力三年行动计划,No.SHDC2022CRT018）
Research Project of Shanghai Municipal Health Commission(上海市卫生健康委员会科研项目,No.202340136) （上海市卫生健康委员会科研项目,No.202340136）
Science and Technology Development Project of Shanghai University of Traditional Chinese Medicine(上海中医药大学科技发展项目,No.23KFW22). （上海中医药大学科技发展项目,No.23KFW22）
